([total number of employers reported] >= 1)

COMMENT: Is there at least one employer listed?

[is this job current?(1)]==1

COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?

(INTERVIEWER: ENTERING HEALTH SECTION)

Would your health keep you from working on a job for pay now?

(Are you/Would you be) limited in the kind of work you (could) do on a job for pay because of your health?

(Are you/Would you be) limited in the amount of work you (could) do because of your health?

(([Would your health keep you from working now?]==1) || ([Limited in kind of work due to accident or injury?]==1) || ([Limited in amount of work due to accident or injury?]==1))

COMMENT: Check if R has reported a health limitation which affects work.

([RESPONDENT GENDER]==1)

COMMENT: Is respondent male?

([time unit for time next child planned]==1) && ([number of months r plans to have next child]<=9)

COMMENT: Is R currently pregnant?

Is your limitation entirely due to your current pregnancy?

Since what month and year have you had this limitation [" "/Other than your pregnancy]?

INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.

VAREXIST ([asthma reptd in previous int])

COMMENT: Was R employed since last interview?

[asthma reptd in previous int]==1

VAREXIST ([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER(1)])

COMMENT: Was R employed since last interview?

DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER(1)]) >= DATE2DAY([12 months before reference date])

COMMENT: Has R been employed in the past 12 months?

When we talked to you on [Date of last interview], you reported that you had asthma.

During the past 12 months, how many days of work did you miss due to your asthma?

RECCOUNT([Final Household Roster])

COMMENT: copy all the people from the info sheet to the roster

Is anyone in your household (besides you) disabled or chronically ill?

Which household member is this?
(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE HOUSEHOLD MEMBER: "Is there anyone else?")

Do you regularly spend time helping or taking care of [this person/these people]?

About how many hours per week do you spend doing this?

Do you regularly spend time helping or taking care of a relative or friend who does not live in your household?

About how many hours per week do you spend doing this?

How much do you weigh?

(ENTER POUNDS)

How tall are you?

(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN INCHES, LEAVE OTHER FIELD BLANK.)

How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?

(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)

CHOOSE TIME UNIT:

([frequency of vigorous exercise]==0 || [frequency of vigorous exercise]==996)

COMMENT: If R is unable or never does physical activities then skip question about how long

About how long do you do these vigorous activities each time?

SELECT TIME UNIT:

How often do you do light or moderate activities for at least 10 minutes that cause only light sweating or slight to moderate increase in breathing or heart rate?

(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)

SELECT TIME UNIT:

([frequency of moderate exercise]==0 || [frequency of moderate exercise]==996)

COMMENT: If R is unable or never does physical activities then skip question about how long

About how long do you do these light or moderate activities each time?

SELECT TIME UNIT:

How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)

(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)

SELECT TIME UNIT:

Do you have a health care provider that you can see when you are sick or need advice about your health?

What kind of place do you go to most often for this care—is it a clinic, doctor's office, emergency room, or some other place?

About how long has it been since your last general physical exam or routine checkup by a medical doctor or other health professional? Do not include a visit about a specific problem.

Has it been...(READ CATEGORIES AS NECESSARY)?

[RESPONDENT GENDER]

COMMENT: If R is unable or never does physical activities then skip question about how long

During the past 24 months, that is since [refdate_24mo~X], have you had any of the following medical tests or procedures?

Are you currently taking...

During the past 24 months, that is since [refdate_24mo~X], have you seen or talked to either of the following types of doctors?

During the past 24 months, that is since [refdate_24mo~X], have you had any of the following medical tests or procedures?

Are you currently taking..

Have you had a menstrual period in the past 12 months?

[Q11-GENHLTH_4D_F~4]== 1

COMMENT: R is currently taking hormone replacement therapy

How old were you when you had your last period?

(How old were you when you had your last period?)

What is the reason that your period stopped at that age?

Did your hysterectomy involve removal of both ovaries, one ovary, or just your uterus?

Prior to taking hormone replacement therapy or "HRT" medications, had you had a menstrual period in the past 12 months?

How old were you when you had your last period prior to starting HRT?

(How old were you when you had your last period prior to starting HRT?)

During the past 24 months, that is since [refdate_24mo~X], have you seen or talked to any of the following types of doctors?

Are you currently taking any medications to control or lower your cholesterol level?

Are any of those medications known as "statins"?

Do you have any of your own, natural teeth?

During a usual week, how many times do you....

...Brush your teeth?

...Use dental floss?

Are you now trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?

When you buy a food item for the first time, how often would you say you read the nutritional information sometimes listed on the label - would you say always, often, sometimes, rarely or never?

When you buy a food item for the first time, how often would you say you read the ingredient list on the package - (would you say always, often, sometimes, rarely or never)?

In the past seven days, how many times did you...

...Eat food from a fast food restaurant such as McDonalds, Kentucky Fried Chicken, Pizza Hut, or Taco Bell?

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

(In the past seven days, how many times did you...)

...Eat a snack between meals?

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

(In the past seven days, how many times did you...)

...Skip a meal?

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

(In the past seven days, how many times did you...)

...Have a soft drink or soda that contained sugar? (Do not include diet soft drinks or sodas, or carbonated water.)

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

[any children to ask about insurance?]==1 || [any spouse/partner to ask about insurance?]==1

The next questions are about health insurance. We would first like to find out about your own health insurance coverage. We will then ask about coverage of [spintro] [hlth_and] [childins].

Are you covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)

What is the source of your primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, a policy from [your husband/wife/partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, is it from Medicare, or is it from some other source?

Who else in your family is covered by this plan?

(SELECT ALL THAT APPLY.)

Have you (or your employer) set up a health savings account, medical savings account, or health-related flexible savings account to help pay your health care expenses?

[r covered by health plan?]==0 || [r has no health care coverage?]==1

COMMENT: /* Respondent reports no health insurance coverage, or coverage not specified in response categories. */

There is a program called Medicaid that pays for health care for persons in need. In [RESPONDENT STATE] it is also called [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]]. Are you covered by Medicaid?

(INTERVIEWER: GENERALLY, IF R OR EMPLOYER DO NOT HAVE TO PAY, THE INSURANCE IS MEDICAID OR A MEDICAID ALTERNATIVE. PLEASE SEE HELP SCREEN FOR LIST OF MEDICAID ALTERNATIVE PROVIDERS AND PLANS FOR [RESPONDENT STATE].)

Not including single service plans, about how long has it been since you last had health care coverage?

[r has no health care coverage?]==1

COMMENT: /* Respondent reports some type of health insurance */

In the past 12 months, have you ever been without coverage?

About how many months were you without coverage?

[r covered by health plan?]==0 || [r has no health care coverage?]==1 || [been without coverage in past 12 months?]==1

COMMENT: Respondent reports no health insurance coverage or coverage not specified in response categories or some non-coverage in the last 12 months

Which of these are the reasons you (do/did) not have health insurance?

(INTERVIEWER: SELECT ALL THAT APPLY.)

[any spouse/partner to ask about insurance?]==1

COMMENT: Respondent reported a spouse

VAREXIST([Q11-80B_1])

INSELECTION([Q11-80B_1],1) || INSELECTION([Q11-80B_1],2)

COMMENT: Spouse/partner covered by R's primary health care

Is [Spouse/partner's name] covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)

What is the source of [Spouse/partner's name]'s primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, a policy from [your husband/wife/partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, or is it from some other source?

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

[any children to ask about insurance?]==1

VAREXIST([Q11-80B_1])

INSELECTION([Q11-80B_1],3) || INSELECTION([Q11-80B_1],4) ||
INSELECTION([Q11-80B_1],5)

COMMENT: Children covered by R's primary health care

RECCOUNT([RESCHILDREN])

Is/Are (READ NAMES OF CHILDREN LISTED BELOW) covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

[Q11-87]==1

COMMENT: The Children are covered by health insurance

(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)

What is the source of your child(ren)'s primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, a policy from [your husband/wife/partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, is it from Medicare, or is it from some other source?

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

[cognition-flag] == 1

Part of this study is concerned with people's memory, and ability to think about things. First, how would you rate your memory at the present time? Would you say it is excellent, very good, good, fair or poor?

Compared to (two years ago/[year before current year]), would you say your memory is better now, about the same, or worse now than it was then?

I'll read a set of 10 words and ask you to recall as many as you can. We have purposely made the list long so that it will be difficult for anyone to recall all the words. Most people recall just a few. Please listen carefully as I read the set of words because I cannot repeat them. When I finish, I will ask you to recall aloud as many of the words as you can, in any order. Is this clear?

(INTERVIEWER: PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ ITEMS ON FOLLOWING SCREEN AT A SLOW STEADY RATE, AS THEY FLASH ON THE SCREEN.

IF R REFUSES DURING OR AFTER THE INTRODUCTION AND BEFORE ANY WORDS ARE READ, SELECT "REFUSED WORD LIST" BELOW AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)

INT(RAND(0)*5)

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.

AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: PLEASE INDICATE WHETHER ANY OF THE FOLLOWING PROBLEMS OCCURRED IN RELATION TO WORD RECALL.)

(SELECT ALL THAT APPLY.)

For this next question, please try to count backward as quickly as you can from the number I will give you. I will tell you when to stop.

Please start with: 20

(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.

R CAN CORRECTLY COUNT DOWN FROM 19 TO 10 OR FROM 20 TO 11.

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)

Let's try again.

The number to count backward from is : 20

(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)

Now please try counting backward from a different number. Remember to count as quickly as you can from the number I mention.

Please start with: 86

(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.

R CAN CORRECTLY COUNT DOWN FROM 86 TO 77 OR FROM 85 TO 76.

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. ALLOW R TO START OVER IF S/HE WISHES TO DO SO.)

Let's try again.

The number to count backward from is : 86

(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)

INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.

You may stop now. Thank you.

(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)

Now let's try some subtraction of numbers. One hundred minus 7 equals what?

(INTERVIEWER: IF R ADDS 7 INSTEAD, YOU MAY REPEAT THE QUESTION. IF DON'T KNOW OR REFUSED ANY NUMBER, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)

And 7 from that?

And 7 from that?

And 7 from that?

And 7 from that?

[word_list_refused1] == 1 || [correct word count] > 0

[flag for cognitive word list assigned]

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.


(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.


(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.

(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.

SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)

(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)

[birthdate~Y] <= 1964

([r complete 40+ health module?]==1)

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Now I am going to read a list of the ways that you might have felt or behaved recently. After each statement, please tell me how often you felt this way during the past week.

During the past week.....

[Is bio father alive]

This next series of questions asks about your biological parent's health.

Is your biological father still alive?

What caused your biological father's death?

How old was he when he died?

[Did/Does] your father have any major health problems?

What [are/were_fath] these problems?

[biological mother alive]

Is your biological mother still alive?

What caused your biological mother's death?

How old was she when she died?

[Did/Does] your mother have any major health problems?

What [are/were_moth] these problems?

Next I will be asking you more specific questions about your health. This information will help keep track of how you feel and how well you are able to do your usual activities.

If you are unsure about how to answer, please give the best answer you can.

In general, would you say your health is ....

The following items are activities you might do during a typical day. Does your health limit you in these activities?

......Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf?

..... Climbing several flights of stairs?

During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?

..... Accomplished less than you would like?

.... Were limited in the kind of work or other activities?

During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?

.... Accomplished less than you would like?

.... Didn't do work or other activities as carefully as usual?

During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?

Thinking only of the past 4 weeks, please give the one answer that comes closest to the way you have been feeling. How often during the past 4 weeks....

.... have you felt calm and peaceful?

.... Did you have a lot of energy?

.... Have you felt down-hearted and blue?

During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?

[blood pressure problems reported during 40+ Health Module]==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Has a doctor ever told you that you have high blood pressure or hypertension?

In what month and year was that first diagnosed?

(ENTER MONTH AND YEAR)

Do you have high blood pressure or hypertension at the present time?

[r report diabetes/high blood sugar in 40+ Health Module]==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Has a doctor ever told you that you have diabetes or high blood sugar?

In what month and year was that first diagnosed?

Has a doctor ever told you that you had skin cancer?

[Has/Since (date of 40+ Health Module) has] a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?

How many such cancers have you [Had/had since (date of 40+ Health Module)]?

REPEAT

In what month and year was [most recent/next most recent] cancer diagnosed?

In which organ or part of your body did this cancer occur?

Do you currently have any such cancer?

UNTIL ([Q11-loop3 counter]==[Number of cancers R reported] || [Number of cancers R reported]==0)

[asthma reptd in previous int]==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Do you currently suffer from asthma?

[r report non-asthma/chronic lung problems in 40+ Health Module]==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?

[Has/Since (date of 40+ Health Module) has] a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?

[Did/Since (date of 40+ Health Module) did] you have a heart attack or myocardial infarction?

In what month and year did you have your [last] heart attack or myocardial infarction?

Do you currently have any angina or chest pains due to your heart?

Has a doctor ever told you that you have congestive heart failure?

In what month and year was your congestive heart failure?

[Has/Since (date of 40+ Health Module) has] a doctor ever told you that you had a stroke?

In what month and year did you last have a stroke?

Has a doctor ever diagnosed you as suffering from depression?

In what month and year was your depression diagnosed?

During the last 12 months, have you suffered from depression?

[r report psychiatric problems during 40+ Health Module]==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Has a doctor ever told you that you had emotional, nervous, or psychiatric problems other than depression?

In what month and year were your emotional, nervous or psychiatric problems diagnosed?

During the last 12 months, have you had any emotional, nervous, or psychiatric problems?

[r report arthritis during 40+ Health Module]==1

COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out

Have you ever had, or has a doctor ever told you that you have, arthritis or rheumatism?

In what month and year was your arthritis or rheumatism diagnosed?

(In what month and year was your arthritis or rheumatism diagnosed?)

Do you sometimes have pain, stiffness, or swelling in your joints?

Has a doctor ever told you that you had osteoporosis?

Do you currently use any special equipment to aid you in your usual activities? By this we mean things such as hearing aids, wheelchairs, scooters, canes, protheses, or special telephones. Please do not include eyeglasses or false teeth.